Certificate of Insurance Request Form
Please answer each of the questions below applicable to your request. If we have everything we need, we will provide the certificate directly to you within two (2) business days unless endorsements are required. We will however, make every effort to provide the Certificate within one (1) business day.[contact-form-7 id=”1192″ title=”Certificate of Insurance Request Form”]
Note regarding Endorsements:
Depending on the endorsement required, some Insurance Companies will charge additional fees for these. Our office will notify you if this applies.
Note regarding changes to a Certificate of Insurance:
Changes to a Certificate already issued may be accessed additional fees. It is important to provide accurate information the first time a request is submitted to avoid these fees.
No coverage can be bound or altered, or a claim submitted, until the information has been confirmed by one of our representatives by phone or email. Need to ask questions? Give us a call or email us:
Lilian Dennis Commercial Lines Account Manager (909)392-5535 lilian@brokerswhocare.com | Ally Austin Office Manager (909) 392-5535 ally@brokerswhocare.com |